Preston Hollow Orthodontics Marks 50 Years in North Texas

Dr. Brody Hildebrand represents the third generation of orthodontists at Preston Hollow Orthodontics, a practice that has served the Park Cities and surrounding areas for nearly five decades from its location overlooking Preston Center.

The multi-generational dental practice has built its reputation on specialized orthodontic and prosthodontic care, establishing itself as a fixture in the North Dallas medical community since the mid-1970s. The practice’s longevity reflects both the stability of the affluent Preston Hollow patient base and the challenges of maintaining a family business through multiple economic cycles.

Family-owned medical practices face increasing pressure from corporate consolidation in the dental industry. Private equity firms have acquired thousands of dental practices nationwide, often standardizing operations and reducing the personalized care that distinguishes established local providers.

The Hildebrand family’s decision to maintain independent ownership positions them among a shrinking group of multi-generational practices in North Texas. This approach allows for continuity of care but requires significant capital investment in equipment and technology without the backing of larger corporate entities.

Preston Center, where the practice maintains its offices, has undergone substantial redevelopment in recent years. The area’s transformation from a mid-century shopping destination to a mixed-use development hub has brought both opportunities and challenges for long-established businesses.

The practice’s patient demographics likely mirror those of the broader Preston Hollow area, where median household incomes exceed $200,000 and residents typically carry comprehensive dental insurance. Orthodontic treatment, often considered elective, tends to correlate strongly with household income levels.

Dr. Hildebrand’s dual specialization in orthodontics and prosthodontics represents a relatively rare combination that allows the practice to handle both tooth alignment and restoration procedures. This comprehensive approach can reduce patient referrals and increase revenue per patient, critical factors for independent practices competing against larger dental service organizations.

The practice’s five-decade tenure spans significant changes in orthodontic technology, from traditional metal braces to clear aligners and digital treatment planning. Adapting to these innovations while maintaining the personal relationships that define family practices requires ongoing investment and training.